REGIONAL DENTAL CENTER NPI 1154748218

NPI Information

  • NPI: 1154748218
  • Provider Name: REGIONAL DENTAL CENTER
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • CLIA Number: 01D2154182
  • Address: 505 PELHAM RD S
    JACKSONVILLE, AL
    ZIP 36265
  • Phone: (256) 435-4464

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NPI Details

REGIONAL DENTAL CENTER is a general practice dentist in Jacksonville, AL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. REGIONAL DENTAL CENTER NPI is 1154748218. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 PELHAM RD S
JACKSONVILLE, AL
ZIP 36265-775
Phone: (256) 435-4464
Fax: (256) 435-2079

The provider's authorized official is William Bruce Young .
The authorized official title is Owner and has the following contact phone number (256) 435-4464.

The CLIA number assigned to this NPI record is 01D2154182 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2014 and was last updated on 4/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice3308ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13308OTHERALABAMADELTA
251097747OTHERALABAMABLUE CROSS BLUE SHEILD OF ALABAMA
3000097747MEDICAIDALABAMA
4793127OTHERALABAMAUNITED CONCORDIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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